Hillandale Swim and Tennis Membership Form
2020 Swim Season
Email address #2
Immediate Family Member Name #1 (include spouses and children)
Immediate Family Member Name #2
Immediate Family Member Name #3
Immediate Family Member Name #4
Immediate Family Member Name #5
Family Membership (1 adult and child or children) $470
Family Membership (2 adults and child or children) $530
Household Membership (One person) $380
Household Membership (Two people) $470
Not Sure (contact
Paying by check (check payable to HSTA) - mail to HSTA c/o Suzanne Voelker, 10119 Riggs Road, Adelphi, MD 20783
Paying online (additional fee applies)
Where did you hear about our pool?
Our Facebook page
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